MEDICARE: JOSE A BERTA LOPEZ RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	002968-PA	PR
2	163W00000X	Registered Nurse	RN9593202	FL

General Provider Information

NPI Number	:	1336585421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE A BERTA LOPEZ RN

Provider Business Mailing Address
First Line	:	713 SE 9TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-2842
Country	:	US
Telephone Number	:	239-214-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 SE 9TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-2842
Country	:	US
Telephone Number	:	239-214-4433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	02/25/2026

Similar Medicare Providers

1457187783 — LAURA DIAZ SANCHEZ RBT
Practice Location Address:

713 SE 9TH TER
CAPE CORAL, FL
33990-2842

Practice Phone: 786-658-4114
Practice Fax:

1215938535 — GULF COAST VILLAGE HOME HEALTH
Practice Location Address:

1435 SANTA BARBARA BLVD STE 1
CAPE CORAL, FL
33991-2842

Practice Phone: 239-772-7480
Practice Fax: 239-772-7980

1285224808 — MS. KIARRA LONG
Practice Location Address:

2842 WHITENER ST APT A6
CAPE GIRARDEAU, MO
63701-5095

Practice Phone: 618-203-2967
Practice Fax:

1346933652 — ANAILY GONZALEZ LEON
Practice Location Address:

1306 SE 14TH TER
CAPE CORAL, FL
33990-3700

Practice Phone: 305-790-5750
Practice Fax:

1700473741 — IDELSY HERNANDEZ
Practice Location Address:

114 DEL PRADO BLVD S STE 300
CAPE CORAL, FL
33990-1724

Practice Phone: 239-471-2874
Practice Fax: 239-330-2919

1255285318 — ROSA NELIDA JORDAN BASTART
Practice Location Address:

824 SE 5TH AVE
CAPE CORAL, FL
33990-2819

Practice Phone: 239-763-2663
Practice Fax:

Directions to “ JOSE A BERTA LOPEZ RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.